Is The Nurse’s Girlfriend Cute? She Stabs People And Avoids Vital Points

During pregnancy, that is, during pregnancy.

In some pregnant women, the structure of the aorta will change due to endocrine changes.

This may lead to aortic rupture and induce aortic dissection.

This kind of situation is not only rare in reality, but also very rare in clinical practice.

The incidence rate is probably less than 3 per million.

The incidence rate among older mothers is slightly higher, probably more than 5 per million.

Although Tang Juan's current situation is only a change in the structure of the aorta.

But no one can guarantee whether the aorta will rupture due to structural changes, thereby inducing aortic dissection.

Therefore, Lu Ming's suggestion is to stay in hospital for observation.

"Are you going to be hospitalized?"

"My wife can't stand the smell of the hospital."

“Every time she came for a pregnancy check-up, she felt nauseous and vomited.

"If I am hospitalized..."

However.

When Lu Ming gave the suggestion of hospitalization, Shen Xueli was somewhat resistant.

"If it was just because of a few structural changes, then I would definitely not let her be hospitalized.

"But the current situation is that the structure of your wife's aorta has changed a bit, and there is more than 50% chance of aortic rupture."

"The aorta is right near the heart. If it does rupture, it could lead to aortic dissection and then a heart rupture or something like that."

"That's really hard for even gods to save."

"So, hospitalization for observation is very necessary!"

Lu Ming told Shen Xueli the stakes.

"Hospital, husband, I want to be hospitalized."

Tang Juan still had a glimmer of consciousness and expressed her willingness to be hospitalized.

"this……………

However, Xi Xueli was still hesitant.

"I have to be hospitalized! I still have a baby in my belly!"

Tang Juan emphasized.

"Okay, okay, we're going to the hospital, we're going to the hospital right away!"

Shen Xueli nodded quickly, he was also afraid of killing two people.

"I'll make an order for you."

Lu Ming immediately went to write hospitalization orders for the two of them and asked the hospital to admit them.

Moreover, Lu Ming will personally follow up on Tang Juan’s condition.

Aortic dissection is a very dangerous disease in any hospital.

What's more, Tang Juan is still a woman.

Just for the condition of a pregnant woman, she has the highest priority in any hospital!

Therefore, Tang Juan will definitely receive special care.

After taking over the "hot potato" Tang Juan.

Lu Ming also ran to the hospital all day long, and had to worry about Tang Juan's condition when eating and sleeping.

Good thing.

A week later, Lu Ming found that the structure of Tang Juan's aorta had returned to normal.

In addition to Tang Juan's own repair ability, the fetus in her belly also contributed.

The fetal cells will slowly penetrate into the maternal blood through the placenta, and eventually enter the maternal organs.

These infiltrated cells have the ability to repair, making the maternal organs younger and improving immunity.

But you don’t have to think too highly of the fetus in your belly.

You can think of fetuses as "parasites" and they certainly don't want their host to get sick.

Otherwise, he would not be able to be born safely.

"Recovering well."

"If we maintain this recovery rate, we will be discharged from the hospital next week.

After hearing what Lu Ming said, Tang Juan suddenly became happy.

"Thank you doctor."

"Thank you for your trouble these days.

Shen Xueli also smiled happily and expressed his gratitude to Lu Ming.

A few more days passed.

It's nearing the end of the month.

When Lu Ming examined Tang Juan again, she found that her aortic structure had almost recovered.

This can be said to be a miracle.

Because clinically, it is almost impossible to recover independently if the aortic structure changes like Tang Juan's are so severe.

Therefore, Tang Juan is really blessed with great fortune.

"There is basically no problem, and I can be discharged from the hospital the day after tomorrow.

To be on the safe side, Lu Ming planned to observe for another two days.

"Okay, okay."

Shen Xueli and Tang Juan also became excited and thanked Lu Ming repeatedly.

Two days later.

Lu Ming came to the emergency room to work as usual.

However, as soon as he changed his clothes, he was taken away for surgery.

Just after one operation was completed, he was asked to be an assistant in a second operation.

I thought I would be relieved after the second operation, but the third operation came again.

"No, what's going on today?"

Lu Ming suddenly felt a little puzzled.

Why are there so many people undergoing surgery today?

"Dr. Lu, Dr. Tao needs help."

After the third operation was completed, the fourth operation came again

Lu Ming sighed, it seemed that it was the end of the month, and the performance of Lord Yama was not enough?

Are you ready to come to the hospital to improve your performance?

but.

I'm afraid it will be a bit difficult to get performance from me.

After the fourth operation was completed, two more car accident patients who needed Green Channel surgery were sent to the emergency department.

Lu Ming and another emergency doctor assigned a patient to each patient and opened the backup operating room.

By the time the fifth operation was completed, it was already the next day.

Lu Ming hurriedly went to the canteen and took a bite of rice.

During the meal, he took out his mobile phone and, after much hesitation, called several medical staff who were on vacation.

There is no way, there is an inexplicable increase in patients today, and the hospital is seriously short of manpower.

After he finished calling and notifying the first person, he was about to make a second call when his phone vibrated.

"Hey, Xiaohong, what's wrong?"

Lu Ming asked.

Xiaohong is a ward nurse in the inpatient department.

"Doctor Lu, something is wrong with Tang Juan!"

Xiaohong's anxious voice came from the other end of the phone.

Lu Ming's heart skipped a beat.

Something happened to Tang Juan?

She was supposed to be discharged from the hospital today.

Lu Ming didn't care about eating anymore, dropped the bowl and chopsticks, and ran directly to the hospital.

At the same time, he did not forget to send a message to the medical staff on vacation, asking them to come back to help.

*******

Come to the ward.

Lu Ming saw Tang Juan lying on the hospital bed, and several medical staff were rescuing her.

"what's the situation?"

Lu Ming asked.

"Doctor Lu, you are here!"

"Just now, I was about to take my wife out of the hospital, but as soon as she stood up, she suddenly fell down!"

"Doctor Lu, what's wrong with my wife?"

Shen Xueli was so nervous that he grabbed Lu Ming's arm and asked him to save Tang Juan.

"Don't worry, I'll take a look."

Lu Ming came to the bedside and checked Tang Juan's condition.

"This is...………"

At this time, Tang Juan was sweating profusely and looking pale.

At the same time, the heartbeat speeds up, the extremities of the limbs feel cold, and there are symptoms of purple-blue cyanosis.

It seems like an aortic dissection has occurred!

"Quick! Send to the operating room immediately!"

Aortic dissection is a very critical disease and requires immediate surgery.

Lu Ming was a little worried that there would be no operating room. After all, today's operations were almost one after another.

Good thing.

There is still a spare operating room available.

"Go find the hand wash nurse and the circulating nurse."

"Find another anesthesiologist."

There are a lot of surgeries, so there is not enough medical staff.

.

After searching around, the anesthesiologist arrived.

But there are still no handwashing nurses and circulating nurses.

Even the interns were promoted.

"It's too late, I'll do it all myself."

According to regulations, there are handwashing nurses and circulating nurses.

But now the situation is urgent, the rule is that the dead are alive, and it is necessary to make appropriate changes.

"I'm here, I'm here, I'm not late, am I?"

At this moment, the head nurse who was on leave came back.

Judging from her style, she looked like she was getting her hair done and then rushed back, her hair not yet dry.

"Go change your clothes quickly and have surgery immediately!"

Lu Ming didn't have time to praise her and just asked her to get ready quickly.

"I'm here. It's a good thing I didn't drink, otherwise I wouldn't be able to participate in the operation.

Lian Zhiyong, deputy director of the emergency department, also rushed back.

From what he said, he might be having dinner with friends or family.

I guess his friends and family are not surprised either.

When eating with doctors, especially those with a certain status in the hospital, it is likely that they will often run out half-eaten.

If I hadn't known that he had indeed gone back to the hospital to work overtime, I might have thought that he was deliberately avoiding the bill and not wanting to pay.

"Quick, everyone go change clothes."

Lu Ming breathed a sigh of relief. There were handwashing nurses and assistants, so there was basically no problem.

soon.

Preoperative preparation is complete.

After giving Tang Juan anesthesia, Lu Ming began the operation.

The process before the surgery went fairly smoothly.

But in the middle of the operation, Lu Ming's movements slowed down.

“Want to take another look at the CTA?”

asked deputy director Lian Zhiyong, who serves as an assistant.

Lu Ming did not speak, but concentrated on the operation.

After a while, Lu Ming breathed a sigh of relief.

The bow replacement has been completed.

The operation can be declared a success.

"I remember this patient, isn't he about to be discharged?"

"Why did you suddenly develop aortic dissection?"

"Where's the CTA report? Let me take a look."

Deputy Director Lian Zhiyong was a little confused.

"No CTA."

Lu Ming said calmly.

"Oh, there's no CTA."

"etc!"

"You said there's nothing?!"

"You didn't do CTA on the patient?!"

Even Zhiyong's voice became sharper, as if he heard the most terrifying thing in the world.

Lu Ming nodded, "No."

"Are you crazy?!"

"How dare you do aortic dissection surgery without CTA?"

"Aren't you afraid of going in?"

"What's more, this is a pregnant woman!"

Lian Zhiyong's eyes were full of shock.

What is a CTA?

That's chest contrast-enhanced CT!

Doctors need to use CTA of the thoracic aorta before surgery to determine the location and diameter of the patient's aortic dissection breach, as well as the size of the lumen.

A surgical plan is then formulated based on these examination results.

In addition, doctors can judge the difficulty of the operation based on the data on the location of the lesion, so that they can focus during the operation to avoid mistakes.

That is to say.

If you do not perform CTA, it is equivalent to performing surgery on the patient "blindly"!

How dare Lu Ming!

"I don't understand."

Lian Zhiyong said he didn’t understand why Lu Ming didn’t do CTA.

"CTA examination results, if done in the morning, will usually be available in the afternoon."

"And even if we rush it, it will take more than half an hour at the earliest."

"According to my experience, the patient's condition is the most dangerous among aortic dissections.

Type A3 aortic dissection.

"I can't wait for that half hour."

"Patients can't afford to wait."

"Indeed, doctors cannot be reckless and must have sufficient examination results to assist their judgment."

"However, when necessary, I will choose to trust my experience and judgment."

As the saying goes, rules are dead but people are alive.

From the patient's perspective, when it comes to a narrow escape, I believe patients will prefer doctors like Lu Ming.

"VR..."

"well!"

"Dr. Lu, although you are the director of the department, you are also the vice president.

"Indeed, you are better than me in all aspects."

"But I'm older than you. From an older person's perspective, I still want to say something to you. It's so easy for you to harm yourself!"

"Now the operation is indeed successful, but what if it fails?"

"Do you think the patient's family will let you go?"

"Even if we are successful now, if the patient's family members want to make an argument about this, they will grab you by the hair and you will be very passive!"

Even Zhiyong did not blame Lu Ming, but felt that Lu Ming might destroy his own future by doing this.

100 "And, why didn't you tell me in advance?"

Lian Zhiyong also didn't understand why Lu Ming didn't tell him in advance and didn't do CTA for Tang Juan.

If you tell him in advance, he can be mentally prepared, right?

You will also be more attentive and careful during the surgery.

"If I tell you, you will be nervous and the effect of the surgery may be worse.

“Moreover, you will also become an insider and may be implicated.

"If I don't tell anyone, then if something really happens, I will be the only one who knows the truth and the only one who will take the blame. No one else will be affected."

Lu Ming explained.

Sometimes, not saying anything is also a kind of wisdom!

This is the experience he has accumulated in his two lives.

To use an analogy.

Suppose, say, your relative faints and has an arrhythmia.

I happened to pass by an ambulance with a defibrillator on board.

At this time, the ambulance was pulling the patient, but the patient's condition was not serious and there was no need to use a defibrillator.

At this time, in order to save your loved ones, you must want to borrow a defibrillator, right?

But according to regulations, defibrillators are absolutely not allowed to be borrowed when a patient is in the ambulance.

Because once a patient in an ambulance needs a defibrillator, but the defibrillator is borrowed and the rescue is delayed and the patient dies, the medical staff must be held responsible.

So what is the correct operation?

Don't ask the medical staff if you can borrow a defibrillator, just get in the car and get it!

If you ask if you can borrow it, the medical staff will definitely answer that you can't.

But if you take it yourself, most medical staff will turn a blind eye considering the condition of your loved ones.

Even if something goes wrong, they don't have to take much responsibility. They can just blame you and say you took it away.

Sometimes, when you ask others to do something, you also have to consider the situation of others.

When you take all the responsibility issues that may arise on yourself in advance, who would be unwilling to help you?

Same reason.

Suppose you are a vendor and you arrive at a place with a large flow of people but you are not allowed to set up a stall.

I saw that the urban management was nearby, but there were still people setting up stalls.

At this time, you should not go up and ask the urban management whether you can set up a stall here.

Instead, you should just straighten up your stall like everyone else.

What does the urban management do?

He's the one in charge of the vendors!

If you go up and ask, he will definitely not let you set up a stall.

If you don't ask, he will just turn a blind eye.

It's so obvious to let the water go, so you can't be a fool and cause trouble for the urban management.

"Are you really only in your twenties?"

Lian Zhiyong looked at Lu Ming suspiciously.

I always feel that there is a mature soul living in Lu Ming's heart.

"Not speaking is also a kind of wisdom..."

"It is indeed a great wisdom."

If he hadn't listened to Lu Ming, he wouldn't have understood this truth!

Lu Ming's height in Lian Zhiyong's heart has reached several higher levels. .